Orthopedic device.



L. ROTH.

ORTHOPEDIG DEVICE.

' APPLIGATION FILED MAB. 1a, 1909.

932, 177. Patented Aug 24, 1909.

Ihr

LOUIS ROTH, OF NEW YORK, N. Y.

RTHOPEDIC DEVICE.

Speccaton ot Letters Patent.

Application filed March 18, 1909.

Patented Aug. 24, 1969.

serial No. 484,278.

fo all vif/wm, it may concern:

Be it known that l, Louis lto'ri-r, citizen ot Hungary, residing at New York, in the county of New York and State of New- York, have invented certain new and useful improvements in Grthopedic Devices, of which the follmving is a specification.

illy invention relates to orthopedic devices and relates particularly to a device adapted for the correction of different deformities of the hips, lower limbs and feet, and among' the objects in view is to provide a device of the character described which shall be capable of an extensive range of adjustments to adapt it for use with limbs varying in size and to accommodate it to deformities of varying degrees and location and which device may be readily applied to a limb and detached therefrom when desired.

A further object is to provide a device of the described character which shall be simple and may be economically manufactured and not liable to get out of orner.

The invention consists in the novel construction, arra gement and combination of parts as hereinafter fully described, illustrated in the accompanying drawings and pointed out in the appended claims.

ln the drawings Fip'ures 1 and 2 are opposite side elevations of the device. Fig. 3 is a bottom plan view of the pivoted plates of the foot section and moans for adjusting` said plates.

My device comprises three sections or members-a foot member 1, a lower leg member 2 and an upper leg` member 3.

hese members arc pivotally connected together to give a certain freedom of movement to the leg when in the act of walking.

The foot section or member 1 comprises plates 5, 6, of approximately the shape seen ,in Fig. 3 and pivotally connected together as at 7. To the plates 5, 6, are riveted soft leather pieces 8, 9, adapted to pass beneath the foot and partially inclose same, the piece S having` eyelets 10 to receive a lacing 11 whereby the piece 8 may be laced snugly over the foot. The piece 9 is also provided with eyelets 12 to receive a lacing 13 to lace said piece snugly over the foot. To the plate are secured metallic straps lilwhich inclose the heel portion of the foot and which straps are pivotally connected as at l5, to the lower leg` member 2 presently described. fis the plates o and 6 are pivotally connected, said plates may have a certain swinging movement relatively to each other to adapt the same to assume a proper position relatively to the deformed foot of the patient.

`For the purpose of causing the plate 6 to be swung around on its pivot to enable the said plates to adapt themselves to the deformed foot, and also for enabling the plate 6 and consequently the foot of the patient to be put under a certain tension and by degrees bring the plate 6 around into proper straight position relative to the plate 5, thereby gradually correcting the deformity of the foot, l provide adjusting means preferably comprising a rod 17 pivoted atlS to an ear 19 on plate 6 and having its opposite end threaded as at 20, which rod passes j loosely through an eye 21 on one of the straps 1e and carrying an adjusting nut 22; a nut 28 is provided on the threaded portion of the rod. By adjusting the nuts 22, 23, on the rod the plate 6 will be swung more or less into line with plate 5 and after the proper position has been secured, the nuts are screwed up tightly against opposite sides of the eye 21 thereby holding the plates 5, 6, in iXed relative position.

The lower leg member 2 comprises metallic strips 26 and 27 on oppositie sides, the. straps 14- being pivotally connected to the lower end of the strips 26. rllhe strips 26, 27 are adjustably connected together, as by providing;- the strips 26 with threaded apertures 28, and the strips 27 with slots 29, and tightening `screws 30 extending through the slots and engaging the apertures 28, so that by tightening` the said screws the strips 26, 27, .may he held in adjusted position. A stili4 leather casing 81 adapted to encircle the lower limb is carried by the. strips 26, 27, and is adjusted longitudinally of said strips, as by providing slots 84, in the strips 26, 27, respectively through which pass tighteningscrews 35 adapted to engage threaded apertures 36 in metallic pieces 38 riveted to the casing 31. The casing is first adjusted to the proper position on the limb and then the l screws 35 are tightened thereby lixing the easing in position. The casing is split longitudinally at the front and has eyelets 42 r`e ceiving a lacing 43 whereby. the Vcasing may be drawn snugly around the limb.

1n order that the foot member .may be put under a certain tension in its movements relative to the lower leg member and thus put the 'oot of the patient under a certain tension which may be desirable in some cases, 1 provide a tension device preferably comprising leather straps 45 having apertures 46 to .be engaged by studs 47 on the strips 27 and to which strips are secured one end of elastic webbing 43 secured at the opposite `end to the leather pieces 8. i* leather strap vo0 is provided with apertures 51. to be engaged by a stud 52 on the casing 31, at the rear thereof and to which strap 50 secured one end of an elastic webbing 53 whose opposite end is secured to a leather strap 54 which is secured to the leather vpiece Thus the movement of the foot member, Vas in the act ot walking, is under a certain degree 'et tension which may be varied by adjusting the leather straps 45 and 50 to cause the studs to engage different apertures in `said straps.

The upper end *of the strips 27 4are pivoted at 60 to the lower end of metallic strips 61,

62 of the vupper leg member 3, at points corresponding to the knee ot the patient. The strip 61 is adapted to havevan adjustable connection with a metallic strip 63 as by providing thestrip 61 with threaded apertures 64 `in which 4can engage a tightening screw 65 which passes through a slot 66 in the strip 6.3.

66 is a stiff leather casing` kcarried by the upper leg member and adapted to embrace the upper leg of the patient. The casing 66 is divided. lat the yfront end and is yprovided with eyelets 68 receiving a lacing by which the casing may be made to more or less snugly surround the limb. The casing 66 is adjustably secured to the upper leg member 3 as by providing the strip 62 with slots 70 and the strips 61, 63 with slots 71 through. which slots 70 and 71 pass screws 74, 7 5, and 76 respectively, adapted to enthreaded apertures 77 in metallic pieces 78 riveted to the casing 66. The casing 66 is rs't adj ust-ed to the proper position on the limb and the screws 74, 7 5 and 76 are then screwed up tight to hold the casing tixedly in position.

In order to vary vthe position of the lower and upper :leg members relatively to each` other to restrict the movement of the members, that is to say to render relative movement of these parts impossible fas may be desirable in some cases, I provide the casing 31 with an apertured lug 80 through which passes the threaded end 81 of a rod 82 whose opposite end is pivoted to ears 83 carried by the casing 66. uts 85 and S6 are-mounted on thel threaded end of the rod on opposite sides ot the lug 80. By properly turning the nuts 85, 36 the rod can be adjusted, thereby adjusting the position of the lower leg member relatively to the upper leg member. certain degree of movement of the member y2 relative to the member 3 could be allowed in some cases where desirable by ruiming the nut S6 up on the rod S2 away 'from the lug SO so as to permit the rod to move down through the lug when the member 2 is flexed as in the act of walking until the nut 36 abuts against the lug, and said rod moving upwardly until the nut 85 abuts against the lug. Thus the nut S6 limits the tlexure of the member' 2 in one direction while the nut S5 limits such iexure in the opposite direction.

To prevent too free a movement of the lower and upper leg members relatively to each other, 1 provide means for exerting a yielding tension upon these parts comprising leatheistraps and 91, one end of the bands 90 having an "adjustable connection with one ot' the strips 27 and with strip 62, while one end ofthe straps 91 has adjustable connection with the other strip 27 and with the strip 63. The adjoining ends of the straps 90 and 91 are connected by pieces 94 and 95 respectively, of elastic webbing which exert a yielding tension on the members 2, 3, in the flexing movement thereof. The ends of the straps 90 and 91 are each provided with a plurality of apertures 98 to be adj ustably engaged with studs 47 on the strips 27, and studs 99 on strips 62 and 63, whereby the tension may be varied. To prevent pressure or friction of the straps and elastic pieces on the limb of the patient, I provide a metallic bail 100 pivotally connected at its ends as at 60 with the upper ends of the strips 27, said bail being provided with a stud 102 to engage suit-able eyelets in the elastic webbing pieces.

The upper member 3 also comprises a section 1.10, the strip 111 of which is pivotally connected at 1.12 with a piece 116 hinged at 117 to the strip 63, and has curved slots 113 through which pass tightening screws 114 which engage with suitable `threaded apertures in the piece 116. The slots 113 permit of a limited pivotal movement of the strips 111 for the purpose of .adjusting the piece 111 to proper position, and the screws 114 :serve to tix the piece 111 in the adjusted position.

lly reason ot the above described construction the section 110 may have one swinging movement relatively to the strip 63 upon the pivot. 112 and also another swinging moveico ment upon the hinge 117, the two movements being at right angles to each other. rThe movement et' piece 11-1 permit-ted by the hinge 117' may be limited by a rod 119 pivoted at 120 to lugs 121 on the strip 111 and the threaded end 122 passing loosely through an apertured lug 123. lists 12d, 125, are mounted on the rod 119 on opposite sides of the lug 113 and by adjusting said nuts the position oi the strip 111 may be adjusted and then locked in adjusted position. 127 is a 'metallic strip curved as shown and adapted to pass j )artially around the upper part ot' the leg and provided with threaded per-tures 129, 13() to receive tightening 'ews 1:11, 132, which pass through slot-s 15141 in the piece 111.

135 is a stift' leather casing riveted to the strip 127 and adapted to partially embrace the upper part ot the leg. rllhe strip 127 also has suitable apertures to receive tightening screws 137 which pass through slots 13S in a piece 140 adapted to bear upon the lefry and provided with a padding 14-1. A sort leather' piece 142 is secured to the casing 135 on the inner side thereotl and has a strap 111-5 provided with apertures 146 to be engaged by a stud 1417 on the piece 1110, whereby the pressure of the piece 1112 on the leg may be varied.

150 indicates a curved metallic strip which at. one end has an adjustable connection with the strip 127, for which purpose said strip 150 is provided with slots 151 through which pass tightening screws 152 engaging threaded apertures in the strip 127. A stit" leather band 15% is riveted to the strip 150 and is provided with a strap 15G having apertures 157 adapted to receive the stud 147. By adjusting the strap so as to cause the stud to engage the diierent apertures, the band may be adapted to snugly tit around the upper portion of the limb.

'llo firmly brace the section 11() in its adjusted positions, l provide a bail 15S whose ends are seated within sockets 180 secured to the strips 61 and G2. The bail 158 is provided with an apertured lug 161 through which passes the threaded end 182 of a rod 16?) whose upper end is pivotally connected at 164 to the piece 140. The threaded end ot the rod 153 is provided witl adjusting.

nuts 157 and 168 on opposite sides of the lug 161. I

170 indicates a strap having apertures 171 he engaged by a stud 172 carried bythe strip 150 and to the lower end of which strap is secured an elastic webbing 173 which secured at its opposite end to the leather cf. sing GG. rPhe provision of the strap 170 and webbing 173 enables a certain degree of tension to be exerted upon the section 110 in any movement of the latter relative to the strip G3 upon the pivot 112.

The soft leather piece 142 is provided with an eyelet 180 through which passes a lacing 182 which .latter may be engaged with any lifted portion of the member 3 to hold the said piece 142 in its turned-over position whereby the said piece Jforms more or less of a support for the inne-r side of the limb.

185 indicates a bail whose ends are pivotally connected to the strips 61 and 62, which carry stops 190 to l-imit the downward swinging movement of said bail. rl`he edges 191 of the stops 190 are to be curved the purpose ot which is to spread apart the ends of the bail in the downward swinging movement of the latter and to cause said bail owing to the springing apart of its ends, to resume its normal position which is that seen in F ig. 1. This bail serves to more or less brace the limb above the knee by bearing.

against the leather casing 66.

lt will be noted that l have provided a device which is particularly well adapted for the correction ot' dilerent deformities ot the lower limbs and that l have provided for a variety of adjustments to suit each individual case whereby the best results may be obtained.

All ot the various strips excepting those specified as being of leather or elastic webbing, may be made of any desired metal as steel, aluminum, etc.

Va 1ious minor changes may be made in the details of construction and arrangement wit-hout departing from the scope of the i vention.

7What l claim is,

1. 1n a device of the character described, e combination ot' a 'toot member, a lower eg member and an upper leg member pivf'ally connected together, with means for `Korting yielding tension on the 'toot mem- )er in its pivotal movement relative to the 4tower leg member comprising leather straps having adjustable connection at one end with the lower leg member, und elastic webbing secr-.red at one end tothe foot member and at the other end to the leather straps,

2. ln a device of the character described, the combination with a lower leg member, ot a toot member pivot-ally connected thereto and comprising metallic plates pivotally connected together, tlexible casings secured to said plates, and means 'for adjusting one ot' the plates relatively to the other and securing the same in adjusted position comprising a threaded rod pivoted at one end to one ot the plates and passing loosely through an apertured lug ln ving connection with the other plate, and nuts upon the threaded end et the rod on opposite sides oit said lng.

il. in a device et the character described, 'the combination with a .lower leg member. of a toot member pivotally connected therewith, and means for exerting a yielding tension upon the :toot member in its swinging movement comprising leather straps having apertures engaged by studs on the lower leg member, and provided with elastic webbing secured to the foot member.

4. In a device of the character described, the combination with a lower leg member, of a foot member pivotally connected therewith and comprising flexible casings adapted to embrace the Jfoot, a strap having adjustable connection with the lower leg member, elastic webbing secured to said strap and a strap also secured to said webbing and to one of the vtlexible casings ot the foot member at the rear or heel end thereof.

In a device ot' the character described, the combination with a foot member, a lower leg member and an upper leg member, all

, pivotally connected together, of means for varying the relative position oit the upper and lower leg members and securing the same in adjusted position comprising a threaded rod having pivotal connection with the upper leg member and passing through an apertured lug on the lower leg member and nuts upon the threaded end of the rod on opposite sides of said lug.

6. In a device of the character described the combination with a toot member, a lower leg member, and an upper leg member, all pivotally connected together as described, of means for exerting a yielding tension on the upper and lower leg members comprising leather straps 90, 91, and elastic webbing pieces connect-ing the adjoining ends of each of the straps 90 and 91, said straps having adjustable connection with the upper and lower leg members.

7. In a device of the character described the combination with a Jfoot member, a lower leg member, and an upper leg member, all pivotally connected together as described, of means for exerting a yielding tension on the upper and lower leg members comprising leather straps 90, 91, and elastic webbing pieces connecting the adjoining ends of each of the straps 90 and 91, said straps having adjustable connection with the upper and lower leg members, and a metallic bail 100 pivotally connected with the lower leg member and to which bail the said elastic webbiug pieces are connected.

8, In a device of the character describedl the combination of a toot member, a lower leg member and an upper leg member, all pivotally connected as described, said upper leg member comprising a section 110 having a strip 111, a strip 63 carried by the upper leg member and means for permitting kthe section 110 and strip 111 to have swinging movements relatively to the strip 63 said swinging movements being at right angles to each other as set forth.

9. In a device of the character described the combination of a foot member, a lower leg member and an upper leg member, all pivotally connected as described, said upper leg member comprising a section 110 having a strip 111, a strip 63 carried by the upper leg member and means for permitting the section 110 and strip 111 to have swinging movements relatively to the strip 63 said swinging movements being at right angles to each other as set forth, means for limiting the movement of the strip 111 comprising a rod pivoted to strip 111 and having a threaded end passing through a lug on the strip 63, and nuts on said threaded end of the rod on opposite sides of the lug.

10. In a device of the character described, the combination with a lower leg member and an upper leg member pivotally conneeted together, of a stili leather casing carried by the upper leg member, a metallic strip 127 also carried by the upper leg member and to which strip 127 the said casing is riveted, said strip having apertures, a piece 140 having slots, screws passing through said slots and engaging in the apertures 1n strip 127, and padding 141 carried by the piece 140.

11. In a device of the character described, the combination with the lower leg member and an upper leg member, both pivotally connected, said upper leg member having a stili leather casing 135, of a softrleather piece 142 secured to the stiff leather casing, a strap having apertures secured to the piece 142 and a stud on the piece 140 engaging the apertures in said strap.

12. In a device of the character described the combination with a lower leg member and an upper leg member, both pivotally connected, of a metallic strip 150 carried by the upper leg member and having slots, a strip 127 also carried by the upper leg member, and having threaded apertures, screws passing through said slots and engaging the said apertures, a leather band 154 secured to the strip 150, a strap 156 secured to strip 150 and having apertures, a piece 140 secured to strip 127 and having a stud which engages the apertures in the strap 156.

13. In a device of the character described the combination with a lower leg member and an upper rleg member pivotally connected together, said upper member comprising a section 110, of strips 61, 62, carried by the upper section, a bail 168 carried by said strips and having a lug, a rod 163 having a threaded end passing loosely through saidlug, nuts on said threaded end of the rod on opposite sides of the lug, a piece 140 carried by the kupper leg member and to which piece the other end of the rod is pivot-ally connected.

14. In a device of the character described, the combination with a lower leg member und an upper leg member pivotally oonnected together, of strips 6l, 62 carried by the upper leg member, a bail pivoted to Jhe strips G1, 62, and straps on the said strips to limit the downward swinging movement of the bail.

l5. in a device of the character deSoribed the combination with a lower leg member and an upper leg member pvot-ally oonneoted together, the Lipper leg member comprising the pivoted member 110, of a leather easing 66 on the upper leg member, a

strip 150 Carried by' the memberl 110, a Stud on the Strip 150, a strap 170 having aper- LOUIS ROTH.

lvitnesses CHRISTIAN Pool-IER, LEO ROTH.

tures engaged by the said stud, and elastic 15 

